Aya Maitiro Ekushomeka kweHydroxychloroquine Iri Kukuvadza Vanhu vane Rheumatoid Arthritis

Zvemukati

• Iyo inorwadza mhedzisiro yekushaikwa kwehydroxychloroquine
• Mumavhiki akapedzwa ndakamirira kuti hydroxychloroquine iwanikwe, ndakasangana nemoto wakaipisisa mumakore angu matanhatu ekubatwa nechirwere cherheumatoid arthritis.
• Kuti manyepo emutungamiri wenyika akakonzera sei kukuvara
• Izvi zvekunyepa zvakatungamira kuzviito nekukurumidza, zvine ngozi.
• Rheumatology varwere vari kugara mukutya
• Zvino kupfuura nakare kose, isu tinofanirwa kuvimba nezano rakanaka kubva kunharaunda yekurapa

Zano raTrump rekushandisa mushonga unodzivirira hutachiona kudzivirira COVID-19 raive risina musoro uye riine njodzi - uye riri kuisa hupenyu hwevanhu vane mamiriro asingaperi panjodzi.

Mukupera kwaKukadzi, ndichigadzirira denda raifungidzirwa kuti richaburukira kunharaunda yangu kunze kweManhattan, ndakaunganidza chikafu, zvinodiwa mumba, nemishonga yakakosha kuti ndiriritire mhuri yangu huru panguva yekugadzwa.

Ndaiziva kuchengeta mhuri yevanomwe - kuwedzera kuna amai vakwegura vanogara nesu - zvaizonetsa panguva yechirwere.

Ini ndine fomu ine hukasha uye inokanganisa rheumatoid arthritis uye vana vangu vashanu vane dzakasiyana siyana autoimmune hosha nedzimwe nyaya dzakaoma dzekurapa. Izvi zvakaita kuti kuronga kwedenda rave pedyo kuve kwakakosha.

Panguva imwecheteyo, chiremba wangu werheumatologist akataura kuti kudzamara murume wangu amira kuenda kuNew York City kunoshanda, ini nevana vangu tinorega kutora mishonga yekudzvinyirira hutachiona inodzvinyirira biologic mishonga yataimbotora kudzvinyirira chirwere chiitiko.

Chiremba wedu ainetseka kuti murume wangu achaburitswa neCOVID-19 ndiri kubasa kana ndichifamba muchitima chakazara, izvo zvinogona kuisa njodzi kumhuri yangu isina simba uye amai vasina kusimba pakurapa.

Iyo inorwadza mhedzisiro yekushaikwa kwehydroxychloroquine

Kurega kwedu biologics kwaizouya nenjodzi - iyo ingangodaro iri iyo inodzikisira kuputika nekuwanda, kusingadzungidzike kuzvimba kunokonzerwa nechirwere.

Mukuedza kudzikisira mukana uyu, chiremba wangu akandinyorera antimalarial drug hydroxychloroquine, iyo yanga ichishandiswa kurapa rheumatoid arthritis, lupus, nezvimwewo zvirwere.

Kunyangwe hydroxychloroquine isiri inoshanda kurapa chirwere changu sezvakaita biologics, haina mungozi imwechete yekuzvidzivirira.

Zvisinei, pandakaedza kuzadza tsamba, ndakaziviswa nemumwe mushambadzi wemishonga kuti havana kukwanisa kuwana mishonga kubva kune vavanopa nekuda kwekushomeka.

Ndakafona zvese single pharmacy munharaunda medu uye yakasangana nenyaya imwechete nguva imwe neimwe.

Mumavhiki akapedzwa ndakamirira kuti hydroxychloroquine iwanikwe, ndakasangana nemoto wakaipisisa mumakore angu matanhatu ekubatwa nechirwere cherheumatoid arthritis.

Kupfeka, kubika, kukwira nekudzika masitepisi, kutsvaira, uye kuchengeta vana vangu naamai yakava mabasa asingakundiki.

Fivha, kutemwa nemusoro, kushaya hope, uye kurwadziwa kusingagumi zvakandipedza. Majoini angu akave akapfava zvakanyanya uye kuzvimba, uye handina kukwanisa kufambisa zvigunwe kana zvigunwe zvavainge vazvimba nekuvharirwa munzvimbo.

Kungobuda pamubhedha mangwanani ega ega nekuenda kuchimbuzi kunogeza - izvo zvinobatsira kugadzirisa kuomarara, chiratidzo cheRA uye kazhinji kana kurwadziwa kuchinge kwakanyanya - kwakatora katatu iyo nguva yaiwanzoita.

Kusanzwisisika kunotyisa kwaizondisiya ndafema.

Kuti manyepo emutungamiri wenyika akakonzera sei kukuvara

Nguva pfupi mushure mekuziva kwangu kuti kwaive kushomeka kwemushonga, nhau dzakaitika dzakabuda kuna vanachiremba mune dzimwe nyika vachiyedza hydroxychloroquine pamwe neazithromycin ine mhedzisiro isina kujeka.

Vekurapa vakabvumirana kuti zviedzo zvemakiriniki zvaidikanwa kuratidza kushanda kwema meds aya, asi Mutungamiri Donald Trump vakatora mhedziso dzisina hwaro.

PaTwitter, akataura kuti hydroxychloroquine ari "mumwe wevanonyanya kuchinja mitambo munhoroondo yezvekurapa."

Trump akataura kuti varwere ve lupus, avo vanowanzorapwa nehydroxychloroquine, vanoita kunge vashoma kuwana COVID-19, uye kuti "kune runyerekupe kunze uko" uye "kune chidzidzo kunze" kuratidza "dzidziso" yake.

Izvi zvekunyepa zvakatungamira kuzviito nekukurumidza, zvine ngozi.

Vanachiremba vakawedzeredza hydroxychloroquine yavo uye varwere vaida kuitora prophylactically - kana avo vaingoda mushonga mumushonga wavo kabhineti kuitira kuti vangangogadzira COVID-19.

Mumwe murume muArizona akafa mushure mekumwa chloroquine phosphate - iyo inorehwa kuchenesa aquariums - mukuedza kuzvidzivirira kubva kunoverengeka coronavirus.

Panzvimbo pekutidzivirira, zvaive pachena kuti kuraira kwemutungamiri wenyika yedu pamusoro kwaive kukonzera kukuvadza nekutenda kune zvisirizvo zvine ngozi.

Rheumatology varwere vari kugara mukutya

Haisi chete kuraira kwaTrump kwaisava nematuro uye kune njodzi, asi kwaive kuisa hupenyu hwevanhu vane mamiriro asingaperi panjodzi.

Mune chinyorwa muAnnals of Internal Medicine, iyo COVID-19 Global Rheumatology Alliance, mubatanidzwa wevarombo, yakayambira nezve kumhanyira kumhedziso nezve mushonga. Vakayambira kuti kushomeka kunogona kukuvadza vanhu vanorarama neRheumatoid arthritis uye lupus.

“Kushayikwa kweHydroxychloroquine (HCQ) kunogona kuisa varwere ava panjodzi yemoto wakakomba uye kunyange unotyisidzira hupenyu; vamwe vangangoda kurapwa muchipatara kana zvipatara zvave kutokwana, ”Alliance inonyora. "Kusvikira humbowo hwakavimbika hwagadzirwa uye maketeni akakwana aiswa, kushandiswa zvine musoro kweHCQ kune varwere vane COVID-19 kunofanirwa kusimbiswa, sekushandisa muzvidzidzo zvekuferefeta."

MunaEpril, iyo US Chikafu neDrug Administration (FDA) inopesana nekushandisa hydroxychloroquine yeCOVID-19 kunze kwenzvimbo yechipatara kana kuyedzwa kwekiriniki, ichidonongodza mishumo yezvinetso zvakakomba zvemutinhimira mukati mevanhu vane COVID-19 inorapwa nemushonga.

Musi waKurume 28, 2020 iyo FDA yakapa Emergency Use Authorization (EUA) yehydroxychloroquine uye chloroquine yekurapa COVID-19, asi vakadzosa mvumo iyi muna Chikumi 15, 2020. Kubva pakuwongorora kwekutsvaga kwekupedzisira, iyo FDA yakatsunga. kuti mishonga iyi haigone kuve mushonga unoshanda we COVID-19 uye kuti njodzi dzekuishandisa nekuda kwechikonzero ichi dzinogona kupfuura chero mabhenefiti.

Centers for Disease Control and Prevention (CDC) iyo "hapana mishonga kana mamwe marapirwo anotenderwa neU.S.Food and Drug Administration (FDA) kudzivirira kana kurapa COVID-19."

Inoenderana: Zvidzidzo zveHydroxychloroquine Yakadzoserwa, Huchapupu Hwekutanga Kushaikwa

Vazhinji vanovimba nehydroxychloroquine vaitarisira kuti nhungamiro iyi kubva kunharaunda yekurapa ingareva kuwanikwa kuri nyore kwemishonga yavo inoponesa hupenyu.

Asi tariro idzodzo dzakakurumidza kupera apo VaTrump vakaramba vachitaura vachitsigira mushonga wekudzivirira kweCOVID-19, kusvika pakutaura kuti aizvitora zuva nezuva.

Uye saka, kushomeka kunoenderera.

Maererano neongororo yakaitwa neLupus Research Alliance, inopfuura chetatu chevanhu vane lupus vane matambudziko ekuzadza tsamba yavo yehydroxychloroquine pakati peCVID-19 denda.

Rheumatology varwere vakaita seni vari kurarama mukutya kushomeka kuri kuenderera, kunyanya sezvo dzimwe nzvimbo dzichiwona kuwedzera kana kumuka kwezviitiko zveCOVID-19 uye tinonanga kune inoratidzika kunge isingadzivisike wave wechipiri.

Zvino kupfuura nakare kose, isu tinofanirwa kuvimba nezano rakanaka kubva kunharaunda yekurapa

Ndinotenda zvikuru uye ndinoonga kuti vekurapa vari kushanda vasinganeti kutsvaga marapiro kune avo vakagadzira COVID-19, uye nevatsvaguriri vari kuyedza nhomba majekiseni anozomisa kupararira kwechirwere ichi chinouraya.

Kugara munzvimbo ine hotspot ine zviitiko zvakawanda munharaunda yangu, ndinonyatsoziva nezve kukuvadza kwakaita SARS-CoV-2, hutachiona hunokonzera COVID-19, iri.

Tinofanira kuvimba nehunyanzvi hwenzvimbo yekurapa kana tichitsvaga masosi akavimbika ekurapa netariro.

Kunyangwe VaTrump vachizviti vane mhinduro dzese, kutora chero zano rekurapa kubva kwaari kunokuvadza hutano hwako uye nekugara zvakanaka.

Iko kubhadharwa kwakaitwa naTrump kusazvibata kunotora kune akanyanya kurwara mitezo yenharaunda yedu hakuna ruregerero.

Avo vakatambura kukuvara kana kurasikirwa nehupenyu hwavo, pamwe nevarwere vasina kuwana mishonga yavo, humbowo.

Elaine MacKenzie akaremara uye anogara achirwira mutsigiri ane makore anopfuura makumi matatu ane ruzivo. Iye anogara kunze kweNew York City nevana vake, murume, uye imbwa dzavo ina.